Jeremy Earl Prudhomme in Waterbury - Optometrist
Jeremy Earl Prudhomme - NPI 1518151182
Jeremy Earl Prudhomme is a Optometrist in Waterbury, Connecticut. Jeremy Earl Prudhomme practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeremy Earl Prudhomme is 1518151182. The last update date is 2007-08-28.
Jeremy Earl Prudhomme's current location address is 495 Union St Ste 1082, Waterbury, Connecticut. You can contact this provider via phone number 2035918353. The mailing address for Jeremy Earl Prudhomme is 495 Union St Ste 1082, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Earl Prudhomme |
|---|---|
| Address | 495 Union St Ste 1082, Waterbury, Connecticut |
| Phone Number | 2035918353 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D |
NPI Number Detail
| NPI Number | 1518151182 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 495 Union St Ste 1082 |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67061285 |
| Phone Number | 2035918353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2725 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique provider identifier assigned to Jeremy Earl Prudhomme?
The Jeremy Earl Prudhomme has been issued the NPI (National Provider Identifier) 1518151182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeremy Earl Prudhomme is located?
The Jeremy Earl Prudhomme is situated at the following address: 495 Union St Ste 1082, Waterbury, CT, 67061285.
What is Jeremy Earl Prudhomme's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy Earl Prudhomme is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Jeremy Earl Prudhomme receive its 1518151182 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Earl Prudhomme was assigned its 1518151182 by the Centers for Medicare & Medicaid Services on 2007-08-28.
When was the information regarding Jeremy Earl Prudhomme most recently updated?
The details pertaining to the Jeremy Earl Prudhomme, including its address, specialty, and other relevant information, were last refreshed on 2007-08-28.